What should the nurse teach the family of a client with clinical depression?
The family should hide any of their negative feelings from the client.
The family needs family therapy to prevent a relapse in the client.
It is important that the client feel a sense of being a valued member of the family.
Depression will be a constant problem throughout the client's life.
The Correct Answer is C
Choice A reason: Hiding negative feelings from the client is not therapeutic. Families should be encouraged to communicate openly and honestly, while maintaining supportive and constructive interactions. Suppressing emotions can create tension and prevent healthy coping.
Choice B reason: Family therapy may be beneficial in some cases, but it is not universally required to prevent relapse. Relapse prevention focuses more on medication adherence, ongoing therapy, and support systems rather than mandatory family therapy.
Choice C reason: Helping the client feel valued within the family is essential. Depression often causes feelings of worthlessness and isolation. Reinforcing the client’s role as a valued member promotes self-esteem, belonging, and recovery. This is the most effective teaching point for families.
Choice D reason: Depression is not always a constant problem throughout life. Many clients recover fully with treatment, and while relapse can occur, it is not inevitable. Teaching families that depression is permanent can foster hopelessness rather than support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:Aggression involves hostile or violent behavior directed toward others. The client’s pacing and rapid speech do not indicate hostility but rather heightened activity.
Choice B reason:Anger is an emotional state characterized by irritation or rage. While the client is loud, there is no evidence of anger directed at others.
Choice C reason:This is correct because psychomotor agitation refers to increased physical activity and restlessness often seen in manic episodes of bipolar disorder. The pacing, rapid speech, and exaggerated gestures are classic signs of psychomotor agitation.
Choice D reason:Anxiety can cause restlessness and pacing, but the combination of loud, rapid speech and elaborate gestures is more consistent with mania-related psychomotor agitation rather than anxiety.
Correct Answer is C
Explanation
Choice A reason: The therapeutic range for lithium is 0.6–1.2 mEq/L. A level of 2.0 mEq/L indicates toxicity, not therapeutic safety.
Choice B reason: Fever, muscle rigidity, and disorientation are more consistent with neuroleptic malignant syndrome, not lithium toxicity.
Choice C reason: Lithium toxicity commonly presents with gastrointestinal symptoms (nausea, diarrhea) and neurological changes (confusion, tremors). At 2.0 mEq/L, these are expected findings.
Choice D reason: Constipation and postural hypotension are not typical signs of lithium toxicity. They may occur with other medications but are not the primary effects of elevated lithium levels.
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